Active NPI
Oleg Uryasev
- Emergency Medicine Physician
- Santa Fe, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD2017-0084
- Practice address
- 1640 Old Pecos TRL
Suite H
Santa Fe, NM 87505-4776 - Phone
- (505) 992-0233
- NPI assigned
- Apr 29, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD2017-0084 | NM | Primary |
| Emergency Medicine Physician | 207P00000X | V5618 | TX | |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1640 Old Pecos TRL
Suite H
Santa Fe, NM 87505-4776
Mailing address
1640 Old Pecos TRL
Suite H
Santa Fe, NM 87505-4776
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260610002346 | PA | Order and Referring Only - Sports Medicine | 4183844889 |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 94.24 of 100
- Quality
- 98.74
- Improvement activities
- 40
- Cost
- 83.11
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2017-0084 | NM | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Los Alamos Emergency Medical Associates Inc | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Services of TX, PLLC | Emergency Medicine | Current | Accepting new patients |
| Acs Primary Care Physicians Southwest, PA | Emergency Medicine | Current | Accepting new patients |
Locations
3917 West Rd
Los Alamos, NM 87544
Phone (505) 661-9584
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
100 E Alton Gloor Blvd
Brownsville, TX 78526
Phone (956) 350-7000
225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400
2901 4th St
Longview, TX 75605
Phone (281) 371-1800
11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000
7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564
26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700
Interoperability endpoints
- ouryasev1275017@ahs.direct-ci.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Los Alamos, NM
- NPI 1679965883
-
- Emergency Medicine Physician
- Gainesville, TX
- NPI 1538101019
-
- Emergency Medicine Physician
- San Antonio, TX
- NPI 1245938729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740009600000",
"number": "1134539174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1640 OLD PECOS TRL",
"address_2": "SUITE H",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875054776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1640 OLD PECOS TRL",
"address_2": "SUITE H",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875054776",
"telephone_number": "505-992-0233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "URYASEV",
"first_name": "OLEG",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-29",
"last_updated": "2025-02-20",
"certification_date": "2025-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NM",
"license": "MD2017-0084",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "V5618",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.